My thanks to Dr. Berkwits for his review of the possible association between aortic stenosis and idiopathic gastrointestinal bleeding. Such clinical “pearls” have been formally and informally taught by our profession since its inception. We can only hope that the current flood of guidelines and pathways will serve our patients as well.

Dr. Gilbert raises three important issues: physicians complaining about lawyers, physicians' insecurity, and specialist compensation. Physicians complaining about lawyers or using the legal profession's foibles to, in some way, justify our own failings is embarrassing. Let's stop doing this. We are responsible for ourselves. We'd do better by taking the high ground and leaving the legal profession to lawyers whether they take on the challenge or not.